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Ansari Chaharsoghi, Narges, Davoodi, Marzieh, Reihani, Hamid, Haghdel, Mobin, Honar, Naser, Asmarian, Naeimehossadat, Haghighat, Mahmood, Dehghani, Seyed Mohsen, Shahramian, Iraj, Ataollahi, Maryam, Salehi, Sara, Ziyaee, Fateme, Imanieh, Mohammad Hadi. (1403). A Comparison of the Effect of Kegel Exercises and Conventional Therapy versus Conventional Therapy Alone in the Treatment of Functional Constipation in Children: A Randomized Clinical Trial. سامانه مدیریت نشریات علمی, 49(5), 286-293. doi: 10.30476/ijms.2023.98539.3055
Narges Ansari Chaharsoghi; Marzieh Davoodi; Hamid Reihani; Mobin Haghdel; Naser Honar; Naeimehossadat Asmarian; Mahmood Haghighat; Seyed Mohsen Dehghani; Iraj Shahramian; Maryam Ataollahi; Sara Salehi; Fateme Ziyaee; Mohammad Hadi Imanieh. "A Comparison of the Effect of Kegel Exercises and Conventional Therapy versus Conventional Therapy Alone in the Treatment of Functional Constipation in Children: A Randomized Clinical Trial". سامانه مدیریت نشریات علمی, 49, 5, 1403, 286-293. doi: 10.30476/ijms.2023.98539.3055
Ansari Chaharsoghi, Narges, Davoodi, Marzieh, Reihani, Hamid, Haghdel, Mobin, Honar, Naser, Asmarian, Naeimehossadat, Haghighat, Mahmood, Dehghani, Seyed Mohsen, Shahramian, Iraj, Ataollahi, Maryam, Salehi, Sara, Ziyaee, Fateme, Imanieh, Mohammad Hadi. (1403). 'A Comparison of the Effect of Kegel Exercises and Conventional Therapy versus Conventional Therapy Alone in the Treatment of Functional Constipation in Children: A Randomized Clinical Trial', سامانه مدیریت نشریات علمی, 49(5), pp. 286-293. doi: 10.30476/ijms.2023.98539.3055
Ansari Chaharsoghi, Narges, Davoodi, Marzieh, Reihani, Hamid, Haghdel, Mobin, Honar, Naser, Asmarian, Naeimehossadat, Haghighat, Mahmood, Dehghani, Seyed Mohsen, Shahramian, Iraj, Ataollahi, Maryam, Salehi, Sara, Ziyaee, Fateme, Imanieh, Mohammad Hadi. A Comparison of the Effect of Kegel Exercises and Conventional Therapy versus Conventional Therapy Alone in the Treatment of Functional Constipation in Children: A Randomized Clinical Trial. سامانه مدیریت نشریات علمی, 1403; 49(5): 286-293. doi: 10.30476/ijms.2023.98539.3055

A Comparison of the Effect of Kegel Exercises and Conventional Therapy versus Conventional Therapy Alone in the Treatment of Functional Constipation in Children: A Randomized Clinical Trial

Iranian Journal of Medical Sciences
مقاله 2، دوره 49، شماره 5، مرداد 2024، صفحه 286-293    اصل مقاله (354.5 K)
نوع مقاله: Original Article(s)
شناسه دیجیتال (DOI): 10.30476/ijms.2023.98539.3055
نویسندگان
Narges Ansari Chaharsoghi1؛ Marzieh Davoodi2؛ Hamid Reihani2؛ Mobin Haghdel3؛ Naser Honar4؛ Naeimehossadat Asmarian5؛ Mahmood Haghighat4؛ Seyed Mohsen Dehghani4؛ Iraj Shahramian4؛ Maryam Ataollahi4؛ Sara Salehi1؛ Fateme Ziyaee1؛ Mohammad Hadi Imanieh* 6
1Department of Pediatrics, School of Medicine, Namazi Teaching Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
2Student Research Committee, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
3Department of Tissue Engineering, School of Advanced Medical Sciences and Technologies, Shiraz University of Medical Sciences, Shiraz, Iran
4Gastroenterohepatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
5Anesthesiology and Critical Care Research Center, Shiraz University of Medical Sciences, Shiraz,
6Department of Pediatrics Gastroenterology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
چکیده
Background: There have been few studies on the effect of Kegel exercises on the treatment of functional constipation in children. Hence, the present study investigated the add-on role of Kegel exercises in children with functional constipation.
Methods: This clinical trial was conducted on children with functional constipation, according to Rome IV, who were referred to the pediatric department of Imam Reza Clinic (Shiraz, Iran) in 2022. The sample consisted of 64 children who were randomly assigned to either the intervention or the control groups. In the control group, a pediatrician administered conventional therapy, including diet training, defecation training, and polyethylene glycol (PEG) syrup (0.7 g/Kg daily). In the treatment group, in addition to conventional therapy, a pediatrician taught Kegel exercises to the child both verbally and in writing in the presence of their parents. To investigate the effectiveness of the intervention, frequency of defecation, defecation time, assistance used for defecation, incomplete emptying, unsuccessful defecation, abdominal pain, and painful defecation were selected as the outcomes. Independent sample t test was used for continuous variables. Categorical variables were reported as frequency and percentages. To examine the difference in categorical outcome variables, Wilcoxon (pre and post), Chi square, and Fisher exact tests were used. Data were analyzed using SPSS software version 21. P<0.05 were considered statistically significant.
Results: Twenty-seven (88.4%) patients in the Kegel exercise group reported a defecation time of less than 5 min, while only 12 (37.5%) patients in the control group reached this time, and this difference was statistically significant (P=0.001). Moreover, patients in the treatment group showed significant improvements in terms of incomplete emptying of stool, unsuccessful defecation, abdominal pain, and painless defecation (P=0.001, P=0.001, P=0.001, P=0.037, respectively). After intervention, the use of laxatives, digits, or enemas to assist defecation was not significantly different between the groups (P=0.659).
Conclusion: Kegel exercise was an effective adjunctive treatment for pediatric functional constipation.
Trial registration number: IRCT20230424057984N1.
کلیدواژه‌ها
Exercise therapy؛ Kegel exercises؛ Constipation؛ Child
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مراجع
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